doctors that prescribe HRT for women who have had DCIS

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It's contained cancer. If it busts out of the duct it's invasive cancer. Then it can spread. So the don't say cancer people want women to wait until it becomes potentially life threatening if not all caught. That's rationing.

Exactly. My DCIS was not detected by annual mammograms or ultrasounds. I only discovered it after it busted out of the duct and formed a tumor in the tissue.

At that point wasn't it not DCIS anymore?

Yes. But if it had been detected earlier, I would have had it removed, which would have been far preferable to waiting until it became invasive cancer.

Once DCIS breaks out of the ducts, the risk levels jump considerably, even if you catch it early.

I don’t care whether you call DCIS cancer or pre cancer or cancer stage zero. Whatever the name, I’d recommend removing it ASAP. You really do not want invasive cancer!

No one on this thread is considering not removing DCIS (whether or not you call it cancer - you can still remove it). the question is whether any doctor in this area will allow someone who had DCIS 5+ years ago to on HRT.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It's contained cancer. If it busts out of the duct it's invasive cancer. Then it can spread. So the don't say cancer people want women to wait until it becomes potentially life threatening if not all caught. That's rationing.

Exactly. My DCIS was not detected by annual mammograms or ultrasounds. I only discovered it after it busted out of the duct and formed a tumor in the tissue.

At that point wasn't it not DCIS anymore?

Yes. But if it had been detected earlier, I would have had it removed, which would have been far preferable to waiting until it became invasive cancer.

Once DCIS breaks out of the ducts, the risk levels jump considerably, even if you catch it early.

I don’t care whether you call DCIS cancer or pre cancer or cancer stage zero. Whatever the name, I’d recommend removing it ASAP. You really do not want invasive cancer!

No one on this thread is considering not removing DCIS (whether or not you call it cancer - you can still remove it). the question is whether any doctor in this area will allow someone who had DCIS 5+ years ago to on HRT.

If it was er/pr+, the answer is no

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t have anyone to recommend, but I think it’s great that you are exploring it.

Estrogen dies not cause breast cancer, although it does feed it if you already have it. There are so many lifestyle choices we can make to lower our risk of breast cancer (not talking about HRT, more diet, exercise, alcohol etc.). People are unwilling to do these things, but shout cancer when anyone brings up HRT, which actually does have a lot of health benefits. Sure, you have to be diligent regarding lowering risk of and screening for breast cancer, but you should be doing that anyway.

To those saying no, read the book estrogen matters by Avron Bluming.

DCIS is breast cancer so I am not exactly following.

there are doctors questioning whether we should be describing DCIS as cancer.

https://ascopost.com/issues/march-10-2024/reframing-dcis-as-an-opportunity-for-cancer-prevention/

Taking the Word ‘Cancer’ Out of DCIS

Telling a woman she has breast cancer is a life-altering diagnosis. To potentially, albeit unknowingly, use those words to describe DCIS and send her down the path of potentially morbid procedures is life-altering as well. It would likely be helpful to women with DCIS to take the word "cancer" out of the diagnosis, since DCIS, by itself, is not life-threatening.

This approach is true for other cancers, such as Gleason 6 prostate cancer as well. For example, Gleason 6 prostate cancer is a disease that can be surveilled, and we have called for the elimination of the word "cancer" in both diseases.

We need to rethink what we call cancer and remember our Hippocratic decree to "first, do no harm." Let’s continue to challenge our understanding of DCIS and evolve to a finer-tuned classification and treatment system for our patients. Now is the time to find a better path forward for all women with DCIS and to start thinking about the diagnosis as a window of opportunity for prevention. 

The women for whom DCIS can be watched and not treated are those who are very old and grade 1.

Gosh, this is not true at all. New poster to this thread but the post above is just wrong.

[Anonymous]

Yeah, my med onc doctor will prescribe estradiol but with pretty conservative reccs on application. (I do think it helps) I think systemic HRT would be right out in her books. I've found the Tamoxifen brain fog is very real but mostly bad sleep. If I go to bed earlier to counter balance waking up a lot, it helps.

[Anonymous]

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